Abstract
Supporting Institution
YOK
Project Number
YOK
References
- Ding L, Wang L, Ma W, He H. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care 2020; 24: 28.
- Taboada M, Bermúdez A, Pérez M, Campaña O. Supine versus Prone Positioning in COVID-19 Pneumonia: Comment. Anesthesiology 2020; 133: 1155-7.
- Scaravilli V, Grasselli G, Castagna L, et al. Prone positioning improves oxygenation in spontaneously breathing non-intubated patients with hypoxemic acute respiratory failure: a retrospective study, Journal of Critical Care 2015; 30: 1390-4.
- Diehl JL, Peron N, Chocron R, et al. Respiratory mechanics and gas exchanges in the early course of COVID-19 ARDS: a hypothesis-generating study. Ann Intensive Care 2020; 10: 95.
- Hallifax RJ, Porter BM, Elder PJ, et al; Oxford Respiratory Group. Successful awake proning is associated with improved clinical outcomes in patients with COVID-19: single-centre high-dependency unit experience. BMJ Open Respir Res 2020; 7: e000678.
- Karpov A, Mitra AR, Crowe S, Haljan G. Prone position after liberation from prolonged mechanical ventilation in COVID-19 respiratory failure. Crit Care Res Pract 2020; 2020: 1-7.
- Winearls S, Swingwood EL, Hardaker CL, et al. Early conscious prone positioning in patients with COVID-19 receiving continuous positive airway pressure: a retrospective analysis. BMJ Open Respir Res 2020; 7: e000711.
- Parke RL, Eastwood GM, McGuinness SP; George Institute for Global Health; Australian and New Zealand Intensive Care Society Clinical Trials Group. Oxygen therapy in non-intubated adult intensive care patients: a point prevalence study. Crit Care Resusc 2013; 15: 287-93.
- Qu J-m, Cao B, Chen R-c. COVID-19 the Essentials of prevention and treatment, First edition, Netherlands: Elsevier; 2021
- Gattinoni L, Chiumello D, Rossi S. COVID-19 pneumonia: ARDS or not?. Crit Care 2020; 154: 1-3.
- Marini JJ, Gattinoni L. Management of COVID-19 Respiratory Distress. JAMA 2020; 323: 2329-30.
- Caputo ND, Strayer RJ, Levitan R. Early self-proning in awake, non-intubated patients in the emergency department: a single ED's experience during the COVID-19 pandemic. Acad Emerg Med 2020; 27: 375-8.
- Coppo A, Bellani G, Winterton D, et al. Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med 2020; 8: 765-74.
- Singh P, Jain P, Deewan H. Awake prone positioning in COVID-19 patients. Indian J Crit Care Med 2020; 24: 914-8.
- Hahm CR, Lee YK, Oh DH, et al. Factors associated with worsening oxygenation in patient with non-severe COVID-19 pneumonia. Tuberc Respir Dis (Seoul) 2021; 84: 115-2.
- Ferrando C, Mellado-Artigas R, Gea A, et al. Awake prone positioning does not reduce the risk of intubation in COVID-19 treated with high-flow nasal oxygen therapy: a multicenter, adjusted cohort study. Crit Care 2020; 24: 597.
- Telias I, Katira BH, Brochard L. Is the prone position helpful during spontaneous breathing in patients with COVID-19? JAMA 2020; 323: 2265-7.
Comparison of prone position effectiveness with percentage of injured lung area in awake non - intubated COVID-19 patients
Abstract
Aim: Prone position plays a key role in the treatment of both non-intubated and intubated patients because COVID-19 associated respiratory failure is gas exchange abnormalities based on shunt and dead-space ventilation. In this study, we aimed to compare the effect of prone position applied in awake non-intubated COVID-19 patients with percentage of injured lung area.
Material and Method: 65 patients with awake, non-intubated were included in this prospective, single-center study. Percentage of injured lung area was calculated using chest computer tomography taken during diagnosis of patients. The prone position cycle was applied as 6 hours prone, 4-6 hours supine position.
Results: The mean of percentage of injured lung area was 25.16±13.81. When percentage of injured lung area groups were compared with the 0th, 6th, 24th and 48th hour SpO2/FIO2 ratio and respiratory frequency; while the SpO2/FIO2 ratio increased in all hours with prone position in the 0-10% and 10-30% groups, a decrease was observed in the SpO2/FIO2 ratio over time in the ≥ 30% group.
Conclusions: The prone position is a safe and effective application that causes improvement in SpO2/FIO2 ratio and RR in awake non-intubated COVID-19 patients with less damage to the lung. However, it should be kept in mind that as the damage to the lung increases, the expected recovery might not be possible.
Project Number
YOK
References
- Ding L, Wang L, Ma W, He H. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care 2020; 24: 28.
- Taboada M, Bermúdez A, Pérez M, Campaña O. Supine versus Prone Positioning in COVID-19 Pneumonia: Comment. Anesthesiology 2020; 133: 1155-7.
- Scaravilli V, Grasselli G, Castagna L, et al. Prone positioning improves oxygenation in spontaneously breathing non-intubated patients with hypoxemic acute respiratory failure: a retrospective study, Journal of Critical Care 2015; 30: 1390-4.
- Diehl JL, Peron N, Chocron R, et al. Respiratory mechanics and gas exchanges in the early course of COVID-19 ARDS: a hypothesis-generating study. Ann Intensive Care 2020; 10: 95.
- Hallifax RJ, Porter BM, Elder PJ, et al; Oxford Respiratory Group. Successful awake proning is associated with improved clinical outcomes in patients with COVID-19: single-centre high-dependency unit experience. BMJ Open Respir Res 2020; 7: e000678.
- Karpov A, Mitra AR, Crowe S, Haljan G. Prone position after liberation from prolonged mechanical ventilation in COVID-19 respiratory failure. Crit Care Res Pract 2020; 2020: 1-7.
- Winearls S, Swingwood EL, Hardaker CL, et al. Early conscious prone positioning in patients with COVID-19 receiving continuous positive airway pressure: a retrospective analysis. BMJ Open Respir Res 2020; 7: e000711.
- Parke RL, Eastwood GM, McGuinness SP; George Institute for Global Health; Australian and New Zealand Intensive Care Society Clinical Trials Group. Oxygen therapy in non-intubated adult intensive care patients: a point prevalence study. Crit Care Resusc 2013; 15: 287-93.
- Qu J-m, Cao B, Chen R-c. COVID-19 the Essentials of prevention and treatment, First edition, Netherlands: Elsevier; 2021
- Gattinoni L, Chiumello D, Rossi S. COVID-19 pneumonia: ARDS or not?. Crit Care 2020; 154: 1-3.
- Marini JJ, Gattinoni L. Management of COVID-19 Respiratory Distress. JAMA 2020; 323: 2329-30.
- Caputo ND, Strayer RJ, Levitan R. Early self-proning in awake, non-intubated patients in the emergency department: a single ED's experience during the COVID-19 pandemic. Acad Emerg Med 2020; 27: 375-8.
- Coppo A, Bellani G, Winterton D, et al. Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med 2020; 8: 765-74.
- Singh P, Jain P, Deewan H. Awake prone positioning in COVID-19 patients. Indian J Crit Care Med 2020; 24: 914-8.
- Hahm CR, Lee YK, Oh DH, et al. Factors associated with worsening oxygenation in patient with non-severe COVID-19 pneumonia. Tuberc Respir Dis (Seoul) 2021; 84: 115-2.
- Ferrando C, Mellado-Artigas R, Gea A, et al. Awake prone positioning does not reduce the risk of intubation in COVID-19 treated with high-flow nasal oxygen therapy: a multicenter, adjusted cohort study. Crit Care 2020; 24: 597.
- Telias I, Katira BH, Brochard L. Is the prone position helpful during spontaneous breathing in patients with COVID-19? JAMA 2020; 323: 2265-7.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Article |
| Authors | |
| Project Number | YOK |
| Publication Date | March 15, 2022 |
| Published in Issue | Year 2022 Volume: 5 Issue: 2 |
Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS].
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Assoc. Prof. Alpaslan TANOĞLU (MD)
Prof. Aydın ÇİFCİ (MD)
Prof. İbrahim Celalaettin HAZNEDAROĞLU (MD)
Prof. Murat KEKİLLİ (MD)
Prof. Yavuz BEYAZIT (MD)
Prof. Ekrem ÜNAL (MD)
Prof. Ahmet EKEN (MD)
Assoc. Prof. Ercan YUVANÇ (MD)
Assoc. Prof. Bekir UÇAN (MD)
Assoc. Prof. Mehmet Sinan DAL (MD)
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